Southeast Menatal Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTHEAST MENATAL HEALTH

Practice address

42382 Deluxe PLZ
Hammond, LA 70403-1236

Phone

(985) 345-1958

NPI assigned

May 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Julie F;Lores, RN

Title

Program Manager

Phone

(985) 345-1958

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Goree Gandolfo, LPC

  • Professional Counselor
  • Covington, LA
  • NPI 1740457092
  NPD (past)
• Michael Eugene Traylor, LCSW

  • Clinical Social Worker
  • Hammond, LA
  • NPI 1871752170
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1821264615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42382 DELUXE PLAZA",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-345-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42382 DELUXE PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031236",
            "telephone_number": "985-345-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MENATAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "F;LORES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "985-345-1958",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Community Health Systems Pharmacy
• Southeast Family Medical Practice
• Southeast Louisiana Ahec Foundation, Inc
• Southeast Louisiana Area Health Education Foundation, Inc.
• Southeast Louisiana Veterans Health Care System
• Southeast Mental Health LLC
• Southeastern Louisiana Univerisity
• Southeastern Louisiana University
• Southern Grace Hospice North LLC
• Southern Medical

• Community/Behavioral Health Agency in Hammond, LA
• Providers in Hammond, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.